1980, 05-13 Permit: 80-4690 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
J98 ADDRESS
Ldit�bO DOCK
13;Qaie,
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIvISION
2.
sIER �{,
3. 4.42) / r.41,-4 LG I.�'
DRESS
• ILP D 7 14.k 44-4 L-
4. C NTRACTORt
Ui ToryCf4-12�� �'am
ADDRESS
1/4 15/h/ Cf7&14/24d. Aid le-deaXt.
DESIGNER
5. ADDRESS
PARCEL NUMBER/5
PHONE
9 0394
PHONE
.s. -1a8-9-140
ZIIP
Actual Set Backs In Feet
North (South East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
O BLD.
❑ ALT.
❑ PLMB.
0 AD'N.
14 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
D SCRIBE wogs tt '/
8. 24601"
�
t (> ( .(�v 01
VALUAT ON
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public ❑ Private 0
USE CODE
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or th
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION1-5--/c../-1.741 SIGNATURE OF APPLICANT T'
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
•
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B Ildln Te hnlc'
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
DD
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
44,
PERMIT NUMBER
fD-1/69d
04* *14.00
* 14.00 N
* 14.006
B *0.00 8
4689-2
05-13-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05i-.1'3;-80 469.OZ *14.00217 -1 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL